Frequently Asked Questions

Answering your questions on therapy treatment

Answers to Frequently Asked Questions About Radial Shockwave Therapy


If you are new to Extracorporeal Radial Shockwave (Pressure Wave) therapy, we understand that you might have some questions. We are confident that we have the answers to your inquiries.

Below are the answers to the questions that are most commonly asked about radial shockwave therapy treatment. Should you have additional questions please feel free to contact us.

What is extracorporeal radial shockwave therapy?

Extracorporeal Shockwave Therapy is a series of high-energy percussions to the affected area. The shockwave is a physical sound wave ( PRESSURE WAVE ) "shock", not an electric one. 

How does it work?
1) Treatment produces an inflammatory response. The body responds by increasing metabolic activity around the site of pain. This stimulates and accelerates the healing process (promotes the remodeling of dysfunctional collagenous tissues, such as tendinopathies, trigger points, muscle strains, etc.).

2) Shockwaves break down scar tissue and/or calcification

3) Transmission of pain is diminished through neurological mechanisms (inhibition of nociceptors) 

What are the benefits of Shockwave Treatment?

This therapy stimulates the body's natural self-healing process through release of a protein called VEG-F. There is actually an immediate reduction of pain and improved range of motion. ESWT may also eliminate your need for surgery.

How long does the treatment last?

In most places that administer Radial Shockwave Therapy, approximately 2000 shocks are administered per treatment area (the duration of which is approximately 5 minutes).

The difference with AIRPWT (TM) Radial Shockwave Therapy is that we are waiting for tissue change. Therefore, sessions are not limited to shock counts, as most clinics provide. Some patients and/or conditions require more or less shocks and duration, depending on severity and chronicity (how long the condition or injury has existed).  

Treatment Costs

Initial Assessment is $105. Typical treatments cost $85. Treatment prices are subject to change.

How many treatments will I need?

Normally three to five treatments are necessary at weekly intervals; there is a small possibility that 2 or more additional treatments may be necessary if your condition is very chronic.  Should you not respond in this time, your case will be reviewed with the therapist to determine an appropriate referral.  Success rates with ESWT are unparalleled (over 80-90% improvement). Please see links to scientific studies on main page for more information.

Does the treatment hurt?

It is a short treatment (usually five to twenty minutes) that may be fairly uncomfortable.  Most people are able to easily tolerate it. However, if you cannot tolerate it, adjustments on the machine can decrease the pressure you feel.  

Will it hurt after the treatment?

There may or may not be immediate pain, but some discomfort may be experienced 2-4 hours after the treatment. In some cases it can last up to 48 hours and in very rare cases, the pain lasts up to 5 days.  Some bruising and swelling can occur.

What should I do if I am in pain after the treatment?
The shockwave will trigger an inflammatory response, which is the body's natural process of healing. For this reason, do not use anti-inflammatory medications. Do not use ice. The pain should subside within 24 hours.


What if it feels good after the treatment?

Even if it feels good, we recommend decreased activity for 48 hours following the treatment.

Is Shockwave Therapy covered by my insurance?

Registered Massage Therapist Tammy-Lee Greschuk is licensed and insured to perform this modality and as such, your massage therapy benefits will be billed for this therapy. 

What is the success rate of this kind of treatment?

A successful treatment is considered as a patient having at least 75% reduction in pain within 3 months. Worldwide, success rates are around 80 to 90%.

What if it doesn't work for me?

Although the short-term effects alone are exceptional, the long-term benefits of this treatment may take up to 3-4 months*. If after this time there has not been any marked improvement, you should see your doctor for further treatment options.

*See the Testimonials page for examples of number of treatments patients have received and length of time for healing for various conditions.